Involuntary admission and posttraumatic stress disorder symptoms in schizophrenia patients

Priebe, Stefan; Bröker, M.; Gunkel, Stefan

doi:10.1016/s0010-440x(98)90064-5

Cited by 69 publications

(58 citation statements)

References 17 publications

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“…Wie weit durch diese potentiell traumatisierenden Elemente der psychiatrischen Behandlung posttraumatische Belastungsstörungen ausgelöst werden, ist recht wenig untersucht. Es gibt Hinweise dafür, dass dies eher selten der Fall ist (28,29). Dennoch ist aus dem klinischen Alltag klar, dass diese Ereignisse vielfach die Beziehungen zum therapeutischen Team schwer und nachhaltig belasten.…”

Section: Methodenunclassified

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Unterbringungen und Beschränkungen an einer psychiatrischen Abteilung: 2003-2006

Rittmannsberger¹,

Foff²,

Zaunmüller³

2009

psychiatr. psychother.

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During the years 2003 to 2006 compulsory admissions and physical restraints were recorded in a psychiatric department. During this period the rate of compulsory admissions per all psychiatric admissions rose from 29.4% in 2003 to 33% in 2006. The rate of patients with at least one episode of physical restraint rose from 2.6% to 5.6%. The rate of compulsory admissions per inhabitants of the catchment area rose from 320/100.000 inhabitants in 2003 to 411/100.000, the rate of admissions with at least one episode of physical restraint from 28.6/100.000 inhabitants to 69.3/100.000. The mean duration of compulsory treatment over the whole period was 8.6 days, the median was 3 days. The mean duration of physical restraints was 132 minutes, the median duration 45 minutes.

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Section: Methodenunclassified

“…Für unsere Untersuchung betragen die Raten von Beschränkungen zwischen28,6/100.000 Einwohner (2003) und 69,3/100.000 (2006). Die durchschnittliche Dauer einer Fixierung betrug in unserem Kollektiv 132 Minuten (Median 45 Minuten) und liegt damit wiederum vergleichsweise niedrig.…”

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Unterbringungen und Beschränkungen an einer psychiatrischen Abteilung: 2003-2006

Rittmannsberger¹,

Foff²,

Zaunmüller³

2009

psychiatr. psychother.

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“…Wie die Daten hierzu zeigen, ist dieser Zusammenhang aber keineswegs zwin− gend. So konnten retrospektive Vergleiche von schizophrenen Patienten mit vs. ohne Zwangseinweisung diesen Zusammen− hang nicht immer erhärten [32]. Psychotisches Erleben kann aber auch mit Gefühlen von Lebensbedrohung einhergehen (z.…”

Section: Ptbs Als Folge Von Psychotischer Symptomatik Und Ungünstigerunclassified

Unbehandelte Posttraumatische Belastungsstörungen bei schizophrenen Störungen: eine Hypothek auf die Zukunft?

Vauth

Nyberg²

2007

Fortschr Neurol Psychiatr

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More recently research has focused on post-traumatic stress disorder (PTSD) as comorbide condition of schizophrenia. Current literature focussing the relationship between PTSD and schizophrenia is reviewed. Evidence is found in support of psychosis as a precondition for development of PTSD, PTSD as vulnerability factor for psychosis as well as psychosis and PTSD both as part of a spectrum of responses to a traumatic event. PTSD may be regarded as risk factor for worse outcome in schizophrenia: Internal stress of reexperiencing the trauma may enhance vulnerability to relapse of illness and proneness to anxiety avoiding coping style with psychosis by adoption of a "sealing over" style, lowering service utilization and compliance. Risk for development of alcohol misuse, cannabis misuse or benzodiazepine misuse and depression may be higher, also worsening the course of schizophrenia. Methodological shortcomings of current studies, ongoing debates on extending DSM-IV criterion A1 definition to psychotic or treatment experiences and implications for clinical assessment and cognitive-behavioural treatment of PTSD in schizophrenia are discussed.

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“…Based on the results, Shaw et al report that there exists a high prevalence of symptoms of acute distress reactions in patients recovering from psychotic episodes. Priebe, Broker, and Gunkel (1998) investigated postpsychotic PTSD in a community-based sample of 105 schizophrenics. This was the first and is currently still the only study to utilize a non-inpatient participant pool.…”

Section: Empirical Studiesmentioning

confidence: 99%

Postpsychotic PTSD Reactions

PsyD

2004

Journal of Trauma Practice

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This paper provides an extensive literature review of postpsychotic PTSD reactions as well as a brief discussion of the relationships between psychosis, trauma, and PTSD. The empirical research suggests that involuntary vs. voluntary hospitalization status, number of hospitalizations, age, gender, and severity of psychosis have no relationship to postpsychotic PTSD and that there is no relationship between PTSD symptomatology and negative symptoms of schizophrenia. However, five of the six empirical studies conducted have reported that between 35 and 67% of their samples meet criteria for PTSD due to psychosis and/or hospitalization, suggesting that the experience of psychosis and/or hospitalization may lead to PTSD-type symptoms. Recent studies also suggest that overall distress caused by psychosis and/or hospitalization is a major factor in developing postpsychotic PTSD. Several treatment strategies for postpsychotic PTSD are discussed along with proposed treatment implications from the empirical literature. Directions for future research are also discussed.

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Involuntary admission and posttraumatic stress disorder symptoms in schizophrenia patients

Cited by 69 publications

References 17 publications

Unterbringungen und Beschränkungen an einer psychiatrischen Abteilung: 2003-2006

Unterbringungen und Beschränkungen an einer psychiatrischen Abteilung: 2003-2006

Unbehandelte Posttraumatische Belastungsstörungen bei schizophrenen Störungen: eine Hypothek auf die Zukunft?

Postpsychotic PTSD Reactions

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